Patterns of expenditures and use of services among older adults with diabetes: Implications for the transition to capitated managed care

Diabetes Care

Volumn 21, Issue 5, 1998, Pages 747-752

  Krop, Julie S ^a   Powe, Neil R ^a   Weller, Wendy E ^a   Shaffer, Thomas J ^a   Saudek, Christopher D ^a   Anderson, Gerard F ^a,b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DIABETES MELLITUS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; MEDICARE; UNITED STATES;

AGE FACTORS; AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; DIABETES MELLITUS; DIABETIC FOOT; DIABETIC NEUROPATHIES; DIABETIC RETINOPATHY; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTH SERVICES FOR THE AGED; HUMANS; LINEAR MODELS; MALE; MANAGED CARE PROGRAMS; MEDICARE; MIDDLE AGED; SEX FACTORS; UNITED STATES;

EID: 0031734329     PISSN: 01495992     EISSN: None     Source Type: Journal    
DOI: 10.2337/diacare.21.5.747     Document Type: Article

References (24)

1. Wolf LF (Ed.): Health Care Financing Review Statistical Supplement. Baltimore, MD, U.S. Department of Health and Human Services, October 1996 (publ. no. 03386)
2. Lamphere J, Neuman P, Langwell K, Sherman D: The surge in Medicare managed care: an update. Health Aff 16:127-145, 1997
3. Weiner JR Dobson A, Maxwell SL, Coleman K, Starfield BH, Anderson GF: Risk adjustment Medicare capitation rates using ambulatory and inpatient diagnoses. Health Care Financ Rev 17:77-99, 1996
4. Epstein AM, Cumella EJ: Using predictors of medical utilization to adjust rates. Health Care Financ Rev 10:51-69, 1988
5. Harris MI: Epidemiology of diabetes mellitus among the elderly in the United States. Clin Geriatr Med 6:703-719, 1990
6. Rubin RJ, Altman WM, Mendelson DN: Health care expenditures for people with diabetes mellitus, 1992. J Clin Endocrinol Metab 78:809A-809F, 1994
7. U.S. Department of Health and Human Services: Medicare and Medicaid statistical supplement. Health Care Financ Rev, 1996, p. 127
8. International Classification of Diseases, 9th Revision, Clinical Modification. Vol. 1, 4th ed. Baltimore, MD, U.S. Department of Health and Human Services, Health Care Financing Administration, 1991 (DHHS publ, no. PHS 91-1260)
9. Charlson ME, Pompei P, Ales KL, MacKenzie CR: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:31-39, 1987
10. Deyo RA, Cherkin DC, Ciol MA: Adapting a clinical comorbidity index for use with 1CD-9 CM administrative databases. J Clin Epidemiol 45:613-619, 1992
11. Harris MI, Cowie CC, Stem MP, Boyko EJ, Reiber GE, Bennett PH (Eds.): Diabetes in America. Bethesda, MD, National Institutes of Health, 1995 (NIH publ. no. 95-1468)
12. Iglehart JK: The National Committee for Quality Assurance. N EngI J Med 335:995-999, 1996
13. Berwick, DM: Payment by capitation and the quality of care, N Engl J Med 335:1227-1231, 1996
14. Ware JE, Bayliss MS, Rogers WH, Kosinski M, Tarlov AR: Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems: results from the Medical Outcomes Study. JAMA 276:1039-1047, 1996
15. Physician Payment Review Commission: Annual Report to Congress, 1997. Washington, DC, Physician Payment Review Commission, 1997
16. Simon C, Emmons D: Physician earnings at risk: an examination of capitated contracts. Health Aff 16:120-133, 1997
17. Bodenheimer TS, Grumbach K: Capitation or decapitation: keeping your head in changing times JAMA 276:1025-1031, 1996
18. Neff JM, Anderson GF: Protecting children with chronic illness in a competitive marketplace. JAMA 274:1866-1869, 1995
19. Huffman C, Rice D, Sung H: Persons with chronic disease: their prevalence and costs. JAMA 276:1473-1479, 1996
20. Anderson GF, Steinberg EP: Predicting hospital readmissions in the Medicare population. Inquiry 22:251-258, 1985
21. Anderson G, Steinberg EP, Whittle J, Powe NR, Antebi S, Herbert R: Development of clinical and economic prognoses from Medicare claims data. JAMA 274:262-267, 1995
22. Delew N: The first 30 years of Medicare and Medicaid. JAMA 274:262-267, 1995
23. Luft HS: Potential methods to reduce risk selection and its effects. Inquiry 32:23-32, 1995
24. Department of Health and Human Services, Health Care Financing Administration: Medicare and Medicaid programs: requirements for physician incentive plans in prepaid health care organizations. Federal Register 61:69034-69050, 1996 (61 FR 69034)